J&J Imaavy sBLA for Rare Anemia Gets Priority Review
FDA has accepted for priority review a Johnson & Johnson supplemental BLA for Imaavy (nipocalimab-aahu) as a potential treatment for warm autoimmune hemolytic anemia (wAIHA). The rare, potentially life-threatening disorder is caused by immunoglobulin G (IgG ) autoantibodies that target and destroy red blood cells, leading to anemia, the company says. There are currently no FDA-approved therapies specifically indicated for treatment.
The submission is based on data from the Phase 2/3 ENERGY trial, a randomized, double-blind, placebo-controlled study in adults with wAIHA. According to the company, a greater proportion of patients treated with nipocalimab achieved a durable hemoglobin response — defined as hemoglobin levels of at least 10 g/dL with an increase of at least 2 g/dL from baseline sustained for 28 days — compared with placebo. Patients receiving the therapy also reported improvements in fatigue, a key symptom of the disease.
The company says Imaavy is designed to block the neonatal Fc receptor, reducing circulating IgG antibodies — including pathogenic autoantibodies — while preserving other immune functions. By targeting the underlying mechanism of disease, the therapy represents a more selective approach compared with existing immunosuppressive treatments.
Nipocalimab is already approved in the U.S. for generalized myasthenia gravis in certain adult and pediatric patients and is being studied across multiple auto- and alloantibody-driven conditions, including rare autoimmune and maternal-fetal diseases.